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1104530443
NATHAN DANIEL BROWN
CHAMPAIGN, IL
NPI
1104530443
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: IL 227.022771)
Enumeration Date
2023-01-11
Last Update Date
2023-01-11
Business Address
NATHAN DANIEL BROWN LMT
2505 WATERBURY PL
CHAMPAIGN, IL 61822-6253
Phone number: 217-552-9115
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Mailing Address
NATHAN DANIEL BROWN LMT
2505 WATERBURY PL
CHAMPAIGN, IL 61822-6253
Phone number: 217-552-9115
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